How much rates vary
Facilitymedian $26 · 10th to 90th $10 to $145Professionalmedian $6 · 10th to 90th $5 to $11
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $6.46 Median $12.30 Typical High $52.48 | Facility | None | $6.46 | $12.30 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.76 Typical High $14.45 | Professional | None | $6.17 | $6.76 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $5.13 Typical High $7.24 | Professional | None | $4.37 | $5.13 | $7.24 |
BCBS Texas Setting Facility Modifier None Typical Low $11.48 Median $34.67 Typical High $69.18 | Facility | None | $11.48 | $34.67 | $69.18 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $8.32 | Professional | None | $5.01 | $5.62 | $8.32 |
Christus Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $22.39 Typical High $42.66 | Facility | None | $10.47 | $22.39 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $17.38 | Professional | None | $5.89 | $7.41 | $17.38 |
Health Smart Setting Facility Modifier None Typical Low $15.85 Median $19.05 Typical High $19.05 | Facility | None | $15.85 | $19.05 | $19.05 |
Health Smart Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $19.05 | Professional | None | $8.71 | $13.18 | $19.05 |
Lucent Health Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $19.05 | Professional | None | $8.71 | $12.88 | $19.05 |
Moda Health Setting Facility Modifier None Typical Low $10.00 Median $91.20 Typical High $213.80 | Facility | None | $10.00 | $91.20 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $6.17 Median $8.91 Typical High $14.45 | Professional | None | $6.17 | $8.91 | $14.45 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | None | $7.76 | $8.71 | $8.71 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $42.66 | Facility | None | $8.32 | $15.14 | $42.66 |
Providence Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $15.49 | Professional | None | $5.89 | $7.41 | $15.49 |
United Setting Facility Modifier None Typical Low $3.72 Median $4.37 Typical High $10.23 | Facility | None | $3.72 | $4.37 | $10.23 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $8.51 | Professional | None | $4.37 | $5.89 | $8.51 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.37 | Professional | None | $5.13 | $5.13 | $5.37 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.47 Median $7.41 Typical High $28.18 | Facility | 52 · Reduced service | $3.47 | $7.41 | $28.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.38 Median $2.95 Typical High $11.22 | Facility | 53 · Discontinued | $1.38 | $2.95 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.39 Typical High $6.17 | Professional | 52 · Reduced service | $3.09 | $3.39 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.35 Typical High $2.45 | Professional | 53 · Discontinued | $1.23 | $1.35 | $2.45 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.89 Median $7.41 Typical High $28.18 | Facility | 52 · Reduced service | $3.89 | $7.41 | $28.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.55 Median $2.95 Typical High $11.22 | Facility | 53 · Discontinued | $1.55 | $2.95 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.09 Median $3.24 Typical High $5.01 | Professional | 52 · Reduced service | $3.09 | $3.24 | $5.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.29 Typical High $2.00 | Professional | 53 · Discontinued | $1.23 | $1.29 | $2.00 |
Where Texas sits
The same service costs 12.6 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 26th of 51
$10.96
VT $97.72MD $7.76
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.